PREVENTION THE 12 MOST
FREQUENT CANCER LOCALIZATIONS
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BREAST CANCER
Medical treatment and diagnostics
of breast cancer is prescribed in the official publication of
the Ministry of Health of the Republic of Serbia titled "The guide
for diagnosing and treating breast cancer".
RISK FACTORS
 Age (the risk increases
with the age).
 Family history
of breast cancer or ovarian cancer prior to menopause (only in
the female line in the family: mother, sister or daughter).
 Abnormal results
of breast biopsy.
 Atypical hyperplasia
(benign change in the breast).
 First menstrual
period prior to the age of 12 and menopause after the age of 55.
 No pregnancy or
giving birth to the first child after the age of 30.
 Higher education
and a higher social status.  Obesity
or an increase of weight following one's menopause.
Presumed risk factors:
 Oestrogen, diet
rich in animal fats, insufficient physical activity and excessive
consumption of alcohol.
 Long-term stress.
 Injury of a breast.
 Insufficient breast
hygiene.
EARLY SIGNS OF BREAST CANCER
 Single hard node
in a breast which does not hurt.
 If part of breast
skin or underarm skin has a changed look, if it is recessed or
swollen.
 AIf blood vessels
on one breast are becoming significantly more visible than on
the other one.
 A recessed nipple.
 Changes on a nipple
in the form of a rash or a changed skin structure.
 Occurrence of secretion
from a nipple, especially when containing blood.
ADVISED MEASURES OF BREAST CANCER
PREVENTION
 Monthly breast
self-examination starting from the age of 20.
 The basic (first)
mammogram around the woman's age of 45.
 A mammogram per
year or every second year for women between the ages of 45 and
49, depending on the results of the basic mammogram.
 A mammogram per
year for women above the age of 50.
 A clinical examination
of breasts with a specialist doctor once in three years for the
women between the ages of 20 and 39, and thereafter once a year.
 Keeping a personal
calendar for recording the results of breast self-exams, mammography
or appointed examinations by physicians.
 Genetic examinations
are desirable for the persons with a family history of cancer.
 Obesity after menopause
should be prevented as it can increase the risk for breast cancer
occurrence.
 A normal level
of hormones can be improved by physical exercises for 4-5 hours
per week, and a normal level of hormones decreases the risk for
breast cancer occurrence.
 Conduct a hormone
therapy exclusively under the supervision of a physician, and
by no means independently or without the supervision of a physician,
as otherwise you may increase the risk for breast cancer occurrence.
 In case after menopause
you decide on a specific therapy which decrease the risk for breast
cancer occurrence (tamoxifen, etc.), it should be indicated exclusively
by a physician, as they can have significant side effects.
BASIC STATISTICS OF BREAST CANCER
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Breast cancer - the most frequent
malignant disease
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Breast cancer - the most frequent
cause of death out
of all malignant diseases
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25.7% of all malignant diseases of women
is breast cancer - every fourth woman with
a malignant disease has a breast cancer!
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22.2% of all women suffering from malignant
diseases die from breast cancer - every fifth deceased
woman with a malignant disease died from breast cancer!
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Breast cancer is the most frequent malignant disease of women
on the territory of Serbia. Every year the number of new cases
among women is progressively increased, and the mortality from
this malignant disease is unfortunately not decreasing. The age
of the ill is all the lower, so that the number of ill young women
under the age of thirty is on the upswing. These data force us
to be constantly on guard. However, do not forget that an early
detected breast cancer is curable in a large number of cases!
CERVICAL CANCER
Medical treatment and diagnostics
of cervical cancer is prescribed in the official publication of
the Ministry of Health of the Republic of Serbia titled "The guide
for diagnosing and treating cervical cancer".
RISK FACTORS
 Infection by human
papillomavirus of high risk.
 Existence of an
immunodeficiency (infection by HIV virus, usage of an immunosuppressive
therapy).
 Specific sexual
characteristics of a woman: early sexual debut, within 2 years
from the first menstrual period; existence of other sexually transmitted
diseases; number of sexual partners of 7 and above; a higher number
of "accidental" sexual partners; partners ill from venereal diseases.
 Smoking.
 Inadequate diet
(insufficient consumption of vegetables and fruit, too much animal
fats).
 Existence of cervical
cancer in one's family.
 Specific reproductive
characteristics of a woman: first pregnancy within 2 years from
the first menstrual period; number of term pregnancies of 4 and
above.
 Usage of oral hormonal
contraceptives over a number of years.
 Low socioeconomic
standard.
EARLY SIGNS OF CERVICAL CANCER
At the early stage of its development, a cervical cancer is most
usually without any symptoms. When the symptoms appear, in most
of the cases the matter is about an already advanced form of the
disease. The most frequent symptoms of the early stage of the
disease is all types of bleeding outside the regular menstrual
period:
 Sanious, watery
secretion.
 OHeavy bleeding.
 Meager, spotty
bleeding.
 Bleeding during
and after sexual intercourses, between two menstrual periods or
during menopause.
 Vaginal secretion
of an altered quality.
 Pain (most often
in the lower back or a leg).
UTERINE CANCER
RISK
FACTORS
 Related to a long-term
exposure of a woman to the effects of oestrogen.
 First menstrual
period before the age of 12.
 Menopause after
the age of 55.
 Hormonal substitutional
therapy by oestrogen, without usage of progesterone.
 No pregnancy.
 History of infertility.
 Personal history
of breast cancer or ovarian cancer.
 Obesity.
EARLY SIGNS OF UTERINE CANCER
 Abnormal vaginal
bleeding (bleeding between regular menstrual periods, heavier
menstrual bleeding, or bleeding after already commenced menopause).
 Not every of these
bleedings is an indication of a cancer, but one should nonetheless
consult a gynaecologist.
OVARIAN CANCER
RISK
FACTORS
 Family history
of ovarian cancer, breast cancer or colon cancer.
 Personal history
of breast cancer, colon cancer or uterine cancer.
 Hereditary nonpolyposis
colon cancer.
 Assumed risk factors:
extended usage of high doses of estrogen without progesterone,
diet rich in fats of animal origin, exposure to certain chemical
matters.
EARLY SIGNS OF OVARIAN CANCER
 At the early stage,
ovarian cancer also has no noticeable symptoms.
 Loss of appetite.
 Indigestion, nausea,
flatulence.
 Unexpected increase
of body weight.
 Distended abdomen.
 Pain in the lower
part of abdomen.
 Changes in the
functioning of the large intestine and in the evacuation of one's
bowels, as well as changes in the functioning of the urinary bladder.
PROSTATE CANCER
PROSTATE CANCER PREVENTION AND EARLY DETECTION
Prostate cancer is the most common cancer in men (not counting
skin cancer). It is also one of the leading causes of cancer death
among men. Many of the risk factors for prostate cancer, such
as your age, race, and family history can't be controlled. But
there are some things you can do that might lower your risk of
prostate cancer.
 Nutrition: diets
high in certain vegetables (including tomatoes (ketchup, sauce,
fresh, juice) and strawberries may be linked with a lower risk
of prostate cancer. After the age of 25, it is advisable to start
taking combined supplements with selenium at least (200 mcg /a
day) and vitamine E (about 270 mg) because in such a combination
it can lower the risk of prostate cancer.
 Having positive
family history (father, brother, or uncle with prostate cancer
or breast cancer in mother lineage of relatives) is an indication
for screening test on prostate cancer starting from the age of
40.
EARLY SIGNS OF PROSTATE CANCER
Prostate cancer may cause no signs or symptoms in its early stages.
Prostate cancer that is more advanced may cause signs and symptoms due
to pressure of tumor size on urethra canal. The symptoms in benign prostatic
hyperplasia and advanced prostate cancer may be similar :
 Trouble urinating.
 Frequent urination (especially at night).
 Decreased force in the stream of urine.
 Blood in the urine.
 Discomfort in the pelvic area.
 Body pain (especially bone pain).
 Erectile dysfunction and painful ejaculation.
TESTICULAR CANCER
PREVENTION AND EARLY DETECTION OF TESTICULAR CANCER
Testicular cancer develops in the testicles, a part of the male reproductive system (which
from the beginning of puberty produces sperm and male hormone, testosterone). It is often
occurring in males between 20-35 years old, but also it can occur anytime after 15 years old.
The real cause of testicular cancer as well as most other types of cancer remains unknown, but it
affects mostly man with undescended testicles (which physiologically occurs at the time of birth
or in the first year of a newborn baby) or after their 6 th year of life.
EARLY SIGNS OF TESTICULAR CANCER
Testicular cancer may cause no signs or no apparent symptoms in its early stages.
It is very important for men to be familiar with the size and form of his testicles
to notice any slightest change in them which may occur.
Changes can be caused by infection or any other condition and it doesn't always mean signs of cancer.
 A lump or enlargement in either testicle.
 A feeling of heaviness in the scrotum.
 A dull ache in the abdomen or groin.
 A sudden collection of fluid or blood in the scrotum.
 Pain or discomfort
in a testicle or the scrotum .
LUNG CANCER
RISK
FACTORS
 Smoking (actively or passively: exposure to cigarette smoke by smoking of another person).
 The environment-air pollution, organic and/or inorganic chemical nature of air pollution.
 Professions that are faced with hazardous materials (asbestos, radon, natural gas,
uranium, chromium, nickel, as well as fast volatile chemical substances-varnishes, paints ...) in carrying out their work.
 Genetic predisposition.
SYMPTOMS OF LUNG CANCER
There are no typical symptoms of lung cancer, but the most important and most common having to do with lung cancer are:
 persistent cough or change the character of chronic cough,
 coughing up sputum with sanies,
 pain in the chest when coughing or deep breathing,
 hard breathing,
 pneumonia that persists after treatment or pneumonia that are repeated in the same place,
 loss of appetite and body weight.
COLON CANCER
RISK
FACTORS
 Family history for colon cancer or polyps in colon (more than
one close family member with colon cancer before the age of 45
the risk for having the cancer is 3-4 times greater).
 Personal
history of polyposis or colon polyps, benign growths on inner
lining of colon which have been surgically removed.
 Personal history
of breast cancer, uterine or ovarian cancer.
 Frequent occurrence
of breast and ovarian cancer with relatives.
 Age (colon cancer
is the most frequent by the age of 50 years old).
 Inflammatory
bowel disease (IBD)-ulcerative colitis and Crohn's disease
or existence of hemorrhoids that won't heal for a long period
of time.
 Diet high in fats and proteins of animal origin as well
as nutrition containing high levels of cholesterol.
 Diet poor in fiber (legumes and fruits).
 Obesity
 Physical inactivity
EARLY SIGNS OF COLON CANCER
 Change in bowel habits (constipation, diarrhea, bowel incontinence)
which last for more than a couple of days.
 Blood in or on the stool.
 A discomfort or cramps in abdomen.
 Flatulence.
 Loss of apetite, unexplained weight loss.
 Fatigue.
 Unexplained anemia.
 In some cases the first signs of underlying disease occurs
�because of metastatic deposits in organs, mainly in liver. Jaundice (yellowish-green skin and the white of
the eyes discoloration) occurs in advanced stages of a disease, when the dissemination of a disease in liver occurs.
RECOMMENDED MEASURES OF COLON CANCER PREVENTION
 You should pay
more attention to nutrition: eat more fiber such as cereals, beans,
whole grains, lean protein, lower fat milk products and healthy
fats, fruits, legumes every day, green vegetables (kale, broccoli,
cabage, carrots, strawberries, blueberries, soya products). Avoid
food enriched in animal fats.
 It is recommended
to eat lean protein, chease, avoid fast food. Make a habit of
5 meal a day three main meals and two light meals.
 Take care about
regular defecation which is largely linked with nutrition.
 Stay physically
active (30 min is enough every day depending of afe and capacity).
 Taking fresh air
is equally important.
 Be aware of your
family history regarding cancer, especially if they appear in
the early age of your closest family members.
 Lead a healthy
lifestyle (avoid smoking, alcohol consumption to be limited to
a lowest degree).
 If obese, try to
lose weight and maintain regular weight.
 IT IS RECOMMENDED
TO REMOVE POLYPES TO AVOID CANCER DEVELOPMENT!!!!
RECTUM CANCER
RISK
FACTORS
Rectum is the concluding part of the large intestine that terminates in the anus.
The average length of the human rectum may range between 12 and 15 cm.
Apart for symptoms which occurs in colon cancer there are symptoms which are specific for the rectal cancer:
In the advanced stage urogenital symptoms may occur such as vaginal bleeding, blood in urine, impotence, difficulty when urinating.
 A feeling that bowels aren 't emptying completely, blood in your stool
or very dark stools, frequent calling for defecation, pencile-like stool, discomfort, pressure in the lower abdomen.
 Changes on anal
skin (induration which can be sensed).
 In the advanced
stage urogenital symptoms may occur such as vaginal bleeding,
blood in urine, impotence, difficulty when urinating.
STOMACH CANCER
RISK FACTORS
 A common bacterium called Helicobacter pylori,
also called H. pylori, causes stomach inflammation and ulcers. It is also considered one of the primary causes of stomach cancer.
 Chronic gastritis and pernicious anemia.
 Eating a diet high in salt has been linked to an
increased risk of stomach cancer. This includes foods preserved by drying, active smoking,
salting, or pickling and foods high in added salt. Maintening prepared food at room temperature degree can lower risk of cancer development.
 Older men have history of cancer development.
 Family history of gastric adematous polyposis and gastric polyps.
 Genetic factors are not risk factors, but it may be
when closest relatives such as mother, sister, father or brother suffed from stomach cancer.
 Many studies have shown that food enriched
with vitamine C and b-caroten such as fresh fruit and legumes and whole grain bread can lower the risk.
EARLY AND LATE SIGNS OF GASTRIC CANCER DEVELOPMENT
In the early stage of gastric cancer, many patients present atypical symptoms which last for a longer period of time,
but aren't apparent enough for a visit to doctor. The symptoms are:
 Nausea/vomiting.
 Frequent heartburn.
 Loss of appetite (sometimes accompanied by sudden weight loss).
 Constant bloating.
 Early satiety (feeling full after eating only a small amount).
 Stomach pain (which may be worse after meals).
About 25% of patients have symptoms similar to gastric ulcer symptoms. In the later stage of a disease:
 Unexplained loss of weight
 Nausea/ vomiting.
 Stomach pain.
 Bloody stools , dark stool.
 Vomiting dark masses.
In some cases , first signs of disease are because of metastases in different organs:
 Jaundice, bone pain , dispnea, deposits in brain or
gynecological symptoms due to metastases in ovary.
PREVENTION MEASURES-STOMACH CANCER
 Because all risk
factors which influence the development of a disease are still
unkown, to prevent such a disease is still hard. It is advisable
to lower your intake of salty and smoked food but also bear in
mind to take vitamine C and b-caroten although its protective
role is contradictory.
 The best prevention
is regularly visit to your doctor and education when it comes
to pinpointing some of the risk factors in your lifestyle.
THYROID GLAND CANCER
RISK FACTORS
Risk factors are:
 Age from 25 to 65.
 Radiation exposure or radioactive methods
treatment of the head and neck in childhood.
 Goiter (abnormal enlargement of the thyroid gland).
 Family history of thyroid gland cancer.
 Thyroid cancer is more common in women.
EARLY SIGNS OF THYROID GLAND CANCER
 Existence of lumps, stiffness or flatness in the neck especially in front of the neck.
LYMPHOMAS
Lymphoma is a cancer of immune cells called lymphocytes,
a type of white blood cell .The cells start to grow and reproduce without any control or
order and during this uncontrolable growth a process of dying normal cell may also be abnormal.
The lymphocytes start accumulating in lymph nodes which are enlarge. Since the lymphocytes
circulate within the organism, they can appear in one lymph node, a group of lymph nodes
or in other organ. They can affect liver, bone marrow and spleen.
The two types of lymphoma are described as: Hodgkin's and non-Hodgkin's
(NHL). Non-Hodgkin 's lymphoma form 80% of all lymphoma.
RISK FACTORS
 Age: most cases occur in people older than 60 mostly in men.
 Exposure to certain chemicals, including benzene and some herbicides and insecticides.
 Immune system deficiency , HIV infection ,EBV , HTLV -1 ( human T -lymphotrope virus).
 Previous chemotherapy or radiation therapy. Radiation exposure.
SYMPTOMS OF LYMPHOMA
 Painless swelling of lymph nodes in your neck, armpits or groin.
 Persistent fatigue.
 Fever and chills.
 Night sweats.
 Unexplained weight loss - as much as 10 percent or more of your body weight.
 Loss of appetite.
 Itching.
 Cough.
This symptoms are not pathognomonic signs of NHL. They can be caused by less dangerous diseases such as flue or other infection.
If lymphoma appears in other organ for example in stomach then the symptoms are diarrhea and pain.
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